Provider Demographics
NPI:1679383541
Name:CARELIVING, LLC
Entity type:Organization
Organization Name:CARELIVING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONWUGBENU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-599-7467
Mailing Address - Street 1:491B CARLISLE DR STE 202
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4819
Mailing Address - Country:US
Mailing Address - Phone:571-599-7467
Mailing Address - Fax:
Practice Address - Street 1:491B CARLISLE DR STE 202
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4819
Practice Address - Country:US
Practice Address - Phone:571-599-7467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-13
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care